Community Voice Health

 

Performance remains on track to deliver the operational standard, with the year to date position at 98.4%. Performance in nine out of the eleven previous weeks was just below the 98% operational standard, due to the snow and ice.

 

Flu activity across London has in the main decreased steadily since the middle of November.

 

NHS London is confident that the London Ambulance Service will deliver Category A standard for 2009 /10 – but it will fail to achieve Category B standard;   the revised trajectory is currently being reviewed to test whether overall performance of 89% is still achievable by year end.

 

London is performing well against both MRSA and clostridium difficile targets and continues on track to deliver better results than planned. At the end of December, only one trust (RNOH) had reached (but not breached) the YTD ceiling for MRSA - but that organisation had a target of one, and has had one case of MRSA. All trusts are now below the target for c. difficile infections.

 

London has a dental access gap of approximately 50,000 patients. The SHA is working closely with the PCTs reporting gaps of more than 1% of their demand estimates.

 

GP patient survey for Q1 and Q2 indicates that nine PCTs would have achieved this indicator, nine would have underachieved it, and 13 would have failed it.

All schemes funded through the Privacy and Dignity Fund are now complete, with visits to view the completed work continuing. All trust boards will be required by March 2010 to publicly declare their compliance with the guidance on the achievement of virtual elimination of mixed sex accommodation.

 

London continues to be adrift on this annual target

 

Hillingdon Hospital has been moved from “Performing” to “Performance Under Review” and North West London Hospitals has moved from “Performance Under Review” to “Under Performing”. Reasons for poor performance are largely due to User Experience scores and Financial Performance.

 

All challenged Trusts must undergo a two-stage assessment process. Funding is usually allocated only after successful completion of both stages. NHS Hillingdon (£19m debt) has passed Level 1, and Level 2 in principle pending submission and approval of a range of plans. Four Trusts, including North West London Hospitals NHS Trust, have not yet passed level 1 – these Trusts are in discussion with their Sector Leads and NHS London on how they may fit into the wider provider landscape in future. Once an agreed strategic proposal is drawn up for each individually, they will each be referred back for CTB assessment at Level 1. Assessment processes are likely to continue throughout 2010.

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